CCNS Certified Clinical Nurse Specialist

Category - Adult

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A patient with hepatic cirrhosis was admitted to the unit. After 3 days of confinement, he developed hepatic encephalopathy, which made the physician ordere neomycin. The nurse is aware that the purpose of the drug is to:

Decrease the blood ammonia level
Reduce abdominal distention
Decrease intestinal edema
Provide a prophylactic antibiotic

Explanation

Answer - A - The nurse is aware that the purpose of the drug is to decrease the blood ammonia level. Neomycin reduces bacterial activity on blood and wastes in the GI tract, thereby reducing the level of blood ammonia, which is the cause of the encephalopathy.

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